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Medical records are an important tool in the practice of medicine. They serve as a basis for planning patient care, they provide a means of communication between the physician and other professional groups contributing to the patient's care, they furnish documentary evidence of the course of the patient's illness and treatment, and they serve as a basis for review, study, and evaluation of the medical care rendered to the patient. For these reasons the Joint Commission on Accreditation of Hospitals considers the quality of medical records an important indication of the quality of patient care given in a hospital.Since medical records reflect patient care, the Commission evaluates a medical record on the basis of whether or not it contains sufficient recorded information to justify the diagnosis and warrant the treatment and end results. In agreement with this principle, the Commission has established certain standards of record keeping
ORGANIZATION SECTION. JAMA. 1956;160(4):294-296. doi:10.1001/jama.1956.02960390044017